The Third Great Plague: A Discussion of Syphilis for Everyday PeopleStokes, John H. (John Hinchman)
History
The Third Great Plague: A Discussion of Syphilis for Everyday People
Stokes, John H. (John Hinchman)
Syphilis
+Personal Preventive Methods.--Continence.+[15]--There remains to be
considered what is often called the personal prophylaxis of syphilis,
meaning thereby the methods by which the individual himself can diminish
or escape the risk of infection. The first and most effective method of
avoiding syphilis is abstinence from sexual relations and intimacies
except in normal marriage with a healthy person. Although it has been
alluded to under the moral prophylaxis of syphilis, it deserves to be
reemphasized. No consideration as to the justice or desirability of
continence and self-restraint can add anything to the simple fact that
it is _the_ way to avoid disease, and can be unhesitatingly recommended
as the standard for personal prophylaxis. In the experience of
physicians it is an axiom that disillusionment sooner or later overtakes
those who think they are exempt from this rule. Persons who discard
continence in favor of what they believe to be some absolutely safe
indulgence are so almost invariably deceived that the exceptions are not
worth considering. Although infection with syphilis is no necessary
evidence of unclean living, clean living will always remain the best
method of avoiding syphilis.
[15] The American Social Hygiene Association, 105 W. 40th Street,
New York City, can supply pamphlets and lists of authoritative
publications bearing on this and related subjects.
+The Metchnikoff Prophylaxis.+--The second method of personal
prophylaxis of syphilis was developed as a result of the discovery of
Metchnikoff and Roux in 1906, that a specially prepared ointment
containing a mercurial salt, if rubbed into the place on which the germs
were deposited within a few hours (not exceeding eighteen hours, and the
sooner the better) after exposure to the risk of syphilis, would prevent
the disease by killing the germs before they could gain a foothold. This
method of protection against syphilis has been subjected to rigid tests,
with fairly satisfactory results. It has been adopted by the army and
navy of practically every country in the world, and, as carried out
under the direction of physicians and with military control of the
patient, has apparently reduced the amount of syphilitic infection
acquired in the armies and navies using it to a remarkable degree. The
method, of course, cannot assume to be infallible, but if intelligently
applied, it is one of the important weapons for the extinction of
syphilis in our hands at the present day. It fails to meet expectations
precisely in those circumstances and among those persons in whom
intelligent employment of it cannot be expected. This of course covers a
considerable number of those who acquire syphilis. What disposal an
awakened opinion will make of this knowledge remains to be seen. At the
present time it may well be doubted whether the indiscriminate placing
of it in the hands of anybody and everybody would not work as much harm
as good through ignorant and unintelligent use.
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